Medicare Private Practice: What Comes After Enrollment?
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Audio CD and Manual, Additional Manual(s)
Mark Kander, MHA, and Steven White, PhD, CCC-A
Learn how to enroll and bill Medicare clients as a private practitioner. This program reviews the enrollment process and addresses other key topics for the prospective Medicare provider. Speakers focus on coding and the process for submitting claims and appealing denials. They also discuss how to identify and interpret local coverage determinations (LCDs) from Medicare administrative contractors. Other topics include covered and non-covered settings for private practice billing, Clinical Fellow eligibility, and restrictions on services rendered by non-enrolled SLPs. The Medicare Fee Schedule, Current Procedural Terminology, and International Classification of Diseases, 9th Revision, are also addressed.
You will be able to:
- enroll in Medicare as an individual or group practice
- use appropriate diagnostic and procedural coding to facilitate successful claims
- describe each level of the appeals process
- identify procedure codes and Medicare reimbursement rates associated with each type of SLP session
View the Table of Contents [PDF]
Instructor Disclosure: Not available. The content for this program was developed and published prior to the ASHA Continuing Education Board requiring instructional personnel to provide financial and nonfinancial disclosure statements.
5/20/2011 to 4/4/2014